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HomeMy WebLinkAbout1624 JAMES DR; ; CB131492; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-18-2013 Permit No: CB131492 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1624 JAMES DR CBAD PME 1562111200 MOORE RES-REPLACE WATER Lot#: 0 HEATER-LIKE FOR LIKE-SAME LOCATION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/18/2013 SKS 06/18/2013 06/18/2013 CALIFORNIA DELTA MECHANICAL STE 155 MOORE REVOCABLE LIVING TRUST 04-25-05 6056 E BASELINE RD MESA AZ. 85206 480-898-0007 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: Inspector: 1624 JAMES DR CARLSBAD CA 92008 $31.00 $0.00 $0.00 $64.00 $95.00 $95.00 Total Payments To Date: $95.00 Balance Due: FINAL APPROVAL Date: t · U ·/.1 Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collective~ referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required infonnation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f i n f h. h v Tl E i r hi r whi f Ii . h I City of Carlsbad .. PlanCheckNo.W \ :>) L/9L 1. I 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 ~ Fax: 760-502-8558 . -l Phm Ck. D1111oslt .. Building Permit Application ~/\..,/ l(~I ,e v/1~ I JOB ADDRESS SUITE/t/SPACE#/UNI ~ I ,PN 1624 James dr --- CT/PROJECT# ILOT# 1PHASE# l#OFUNITS l#BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP -- DESCRiPTiON OF WORK: Include Square Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES0, No[] YES □No □ YES□No□ CONTACT NAME (lfDflfeMotFomAp,,,loaot) California Delta Mechanical Inc. APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6056 E Baseline Rd # 155 6056 E Baseline Rd # 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206 rPHONI:: 480-898-0007 I FAX 1-480-218-5645 PHONE 858-361-6495 IFAX 858-240-6677 L_ !EMAIL california@,deltamechanical.com EMAIL galinap@,deltamechanical.com i PROPERTY OWNER NAME Douglas Moore CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 1624 James dr 6056 E Baseline Rd 3 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Mesa AZ. 85206 PHONE I FAX PHONE I FAX 760-729-6802 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS TSTATEUC. # STATE LIC.# TClASS I CITY ,us. uc.1214281 811114 c-36 Workers' Compensation Declaration: / llereby affirm under penalty of peljury one o1fhe following declarations: ll] I have and will maintain a certificate of consent to self-Insure for 11.'0rkers' cornpensalion as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is iSsued. [Z] I have and will maintain workers' compensation, as reQuired bv Sec~on 3700 1f tr.e Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and poliey number are: lnsurar,ce Co Poliey No. 1697823 Expiration Date 07i111121l13 ~section need not be compieted if the permit is for one hundred dollars ($100) or less. L{j Certificate of Exemption: I certify that in the performance of the 'NOrk for which lhiS permit iS issued, I shall not employ any person in any manner so as to become subj8CI to the Workers' Compensauon Laws of California. WARNING: Failure to secure workers' compensation coverage Is unla,..:ful, and shan subject an employer to criminal penalties and civil fines up to one hundred t~ousa dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 ofth Labo code nterest and attorney's fees. '.// 1/ ~ CONTRACTOR SIGNATURE DATE 1/ 7 / llereby afflnn that I am exempt from Contractor's License Law for the following reason· □ □ D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale), I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfessiOns Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and matertals for construction of the proposed property improvement. OYes ONo 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the majOr work (Include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the 'NOrk indicated (include name I address I phone I type of work): I ~ PROPERTY OWNER SIGNATURE DATE L ___ _ I certify that I have read the appWcatiOn and state that the above infonnation is corred: and thatthe infonnation on the plans Is accurate. I agree to compt, with all Clfy ordinances and State laws relatlngto building construction. I hereby authorize representative of the Qty of Carlsboo to enter Up(X'\ the above mentioned propertyfcr insi;ecliOO puri:oses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGti.iNST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN At-N WAY ACCRUE AGAINST SAlD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: All OSHA permit is rtXju1red for ext.:avalions over 5'0' deep and dernol"!ion oroonstruction of structures over 3 stories in heighl EXPIRATION: Every permit ISSued by the Building Official urder the proviSKlns of this Cod-3 shall expire by limi1ation and become null and '.tic! ~the building or work authorlZed bySOO'I 1)3(TT1il is rot oommenced within 181 days from ~e date of sud1 pem1t or rrtte l)u;~;ng or work authorized by sucl1 perm, ,s suspendeJ or abandored at any tirre atte,tt,, _ ;, comrrencedfor a period of ZSa;tion 1064.4 Unlorm Bu;~;ng Code) R5APPLICANT'SSIGNAfURE ~~ DATE 6,2L? Inspection List Permit#: CB131492 Type: PME Date Inspection Item ______ _ 06/25/2013 25 Water HeaterNents 06/25/2013 25 Water HeaterNents 06/25/2013 29 Final Plumbing 06/25/2013 29 Final Plumbing Tuesday, June 25, 2013 Inspector Act RI PB AP RI PB AP MOORE RES-REPLACE WATER HEATER-LIKE FOR LIKE-SAME LOCATIO Comments 1-3 PM PLS Page 1 of 1